Provider Demographics
NPI:1831253905
Name:SYLVAN, JAMES PRIZANT (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PRIZANT
Last Name:SYLVAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3901 ROSWELL RD
Mailing Address - Street 2:SUITE # 220
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-8809
Mailing Address - Country:US
Mailing Address - Phone:770-977-0977
Mailing Address - Fax:770-977-2910
Practice Address - Street 1:3901 ROSWELL RD
Practice Address - Street 2:SUITE # 220
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8809
Practice Address - Country:US
Practice Address - Phone:770-977-0977
Practice Address - Fax:770-977-2910
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA84541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice